NPI | 1942574967 |
---|---|
Former Name | KRISTIN MARIE PREISER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95002702) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 795367) |
Enumeration Date | 2012-03-08 |
Last Update Date | 2016-12-01 |